Routine inspection·February 2, 2026

On 02/02/2026 , Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Singh met with a staff and was granted entry to the facility. Facility Licensee Atanacio C. Fajardo and Administrator Cristina Fajardo arrived during the visit. At the time of the visit there were Eleven (11) residents and four (4) staff present. Staff informed LPA Singh that two(2) residents were out in the community. On 9/29/2025, LPAs Singh and Guerrero conducted a case management visit. While conducting an inspection of the facility LPAs observed termites dropping on the bed in bedroom #4 with one resident is currently occupying the room, this poses a potential health and safety risk for clients in care. While continuing the inspection LPAs inspected first restroom located on the first-floor to have mold on the ceiling, through the walls and inside the bathroom cabinets. Due to mold one bedroom#4 and a bathroom are locked and Riverside county will be do the construction on the property soon. Resident has been moved to another room due to health and safety risk. The facility is an eleven (11) bedroom, and four (4) bathroom home with a kitchen/dining area, living room/activity room. currently one bedroom room #4 and a bathroom are locked due to mold issues. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of fifteen (15) ambulatory residents and the current census is Thirteen (13) residents. LPA Singh was accompanied by Administrator Fajardo to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageway. The facility is maintained at a comfortable temperature. LPA Singh inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night-stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Singh observed the water temperature in the bathrooms to be within the regulations. The facility is equipped with operating smoke detectors and carbon monoxide alarms. There were five (5) fire extinguishers observed at the facility. Posters such as labor laws, and the disaster plan were posted in a common area, but LPA Singh observed the personal rights, the CCLD complaint poster and Ombudsman poster were posted in a common area. Cleaning supplies, chemicals and other dangerous items were locked, not accessible to residents. There was a designated storage space for resident/staff files. There is a Medicine cabinet with the resident’s medications locked. LPA Singh observed a complete first aid kit and first aid book at the facility. Food Service: More than seven (7) days’ supply of non-perishable foods and more than three (3) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. Care & Supervision: The facility has an Administrator present in the facility with appropriate and enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care. Record Review: LPA Singh reviewed six (6) resident files for admission agreements, physician reports, pre-placement appraisals, functional capabilities and needs and services plans. LPA Singh observed there were required pre-placement appraisals, functional capabilities and needs and services plan documentation on file. LPA Singh reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. LPA Singh audited three (3) residents medications were audited and per review of their Medication Administration Record (MAR) was updated. Fire/Earthquake drill was conducted on November 17, 2025. Liabiliy Insurance valid through 7/8/2025 to 7/8/2026. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC809C were discussed and provided to Administrator Cristina Fajardo.